PDPM

A new payment system will replace the RUG-IV classification system beginning October 1, 2019. The Patient Driven Payment Model (PDPM) is designed to provide payments based on the characteristics of the resident, not the services which the resident receives.

 
 Date PostedPublication
4/12/2019 Transmittal #2278 - Implementation of the Skilled Nursing Facility (SNF) Patient Driven Payment Model 
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4/11/2019 Patient-Driven Payment Model: Frequently Asked Questions 
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4/8/2019 PDPM Calculation Worksheet for SNFs 
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4/8/2019 PDPM ICD-10 Mappings: Clinical Category, SLP Comorbidity, NTA Comorbidity 
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3/14/2019 Transmittal #2270 - Implementation of the Skilled Nursing Facility (SNF) Patient Driven Payment Model  
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2/15/2019 Administrative Level of Care Presumption under the PDPM 
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2/15/2019 PDPM Payments for SNF Patients with HIV/AIDS 
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2/15/2019 PDPM Fact Sheet: Concurrent and Group Therapy Limit 
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2/15/2019 PDPM Functional and Cognitive Scoring 
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2/15/2019 PDPM Fact Sheet: Interrupted Stay 
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2/15/2019 PDPM Fact Sheet: MDS Changes 
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2/15/2019 PDPM Fact Sheet: NTA Comorbidity Score 
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2/15/2019 PDPM Patient Classification Fact Sheet 
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2/15/2019 PDPM Fact Sheet: Variable Per Diem Adjustment 
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2/15/2019 PDPM Presentation 
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2/6/2019 Transmittal #2252 - Implementation of the Skilled Nursing Facility Patient Driven Payment Model 
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1/2/2019 SNF PPS: Patient Driven Payment Model (December 11, 2018 MLN Call) 
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6/15/2018 SNF PDPM Grouper Tool 
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5/1/2018 SNF PDPM Provider Specific Impact Analysis 
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5/1/2018 Skilled Nursing Facilities Patient-Driven Payment Model Technical Report 
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4/28/2017 Skilled Nursing Facilities Payment Models Research Technical Report (RCS-I for Reference Only) 
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